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Individual

JENNIFER REESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 521-1747
Mailing address
637 16TH ST, PORT ROYAL, SC 29935-2213
(843) 470-0121

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396
LICENSE #
SC
Enumeration date
08/30/2006
Last updated
07/08/2007
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